License holder summary

DEEPAK BHAGWATLAL SHAH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DEEPAK BHAGWATLAL SHAH is 604 W BERRY STREET, FORT WAYNE IN 46802. This licensed professional license is not current. The license was granted 07/29/1993 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

DEEPAK BHAGWATLAL SHAH
Controlled Substance Registration - Physician
License number
01041755B
Date granted
07/29/1993
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
604 W BERRY STREET, FORT WAYNE IN 46802
indianalicensing.org
ID 5853228
LAST UPDATED 2026-09-11 18:06:18 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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